Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $6,846.00 / $12,230.00	Facility		$1,110.00	$6,846.00	$12,230.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $10,732.50 / $10,732.50 / $10,732.50	Facility	22	$10,732.50	$10,732.50	$10,732.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,178.00 / $7,928.40 / $12,010.00	Facility	50	$4,178.00	$7,928.40	$12,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $511.69 / $1,234.56	Professional		$361.88	$511.69	$1,234.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $353.02 / $565.83 / $678.43	Professional		$353.02	$565.83	$678.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,497.00 / $5,993.00 / $11,969.00	Facility		$2,497.00	$5,993.00	$11,969.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.59 / $548.23 / $810.35	Professional		$424.59	$548.23	$810.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,630.00 / $10,806.00 / $17,294.00	Facility		$9,630.00	$10,806.00	$17,294.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.96 / $571.52 / $945.23	Professional		$400.96	$571.52	$945.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.25 / $663.61 / $8,482.00	Facility		$402.25	$663.61	$8,482.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,950.66 / $11,796.00 / $12,053.74	Facility	50	$7,950.66	$11,796.00	$12,053.74
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $108.82 / $1,537.78 / $1,537.78	Facility	AS	$108.82	$1,537.78	$1,537.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.81 / $769.39 / $3,959.35	Professional		$423.81	$769.39	$3,959.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,738.00 / $6,120.00 / $11,870.00	Facility		$2,738.00	$6,120.00	$11,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.01 / $582.67 / $1,015.42	Professional		$406.01	$582.67	$1,015.42